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Male or Other

Dr. Benjamin L. Bullock MD

Emergency Medicine Physician in New Orleans, LA(View on Map)

Full Name

Dr. Benjamin Lee Bullock MD

NPI Number

1417306952

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/06/2016

Specialties

(Taxonomies)

Name

Emergency Medicine Physician

Code

207P00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana
Texas
Texas

License Number

312427
R5704
BP10057575

Contact
Information

Purpose

Mailing
Location

Address

1514 JEFFERSON HWY
1514 JEFFERSON HWY

City

New Orleans
New Orleans

State

LA
LA

Postal Code

70121-2429
70121

Country

US
US

Telephone Number

(504) 842-4000
(504) 842-3460

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/31/2019

Provider Address

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